DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1003038225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003038225 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Other Organization Name | MUNCIE PLAZA DENTAL CENTER |
| Practice Address |
1130 E Princeton Ave Muncie IN 47303 |
| Practice Telephone | 7652864195 |
| Practice Fax Number | 7652864248 |
| Mailing Telephone | 7652864195 |
| Mailing Fax Number | 7652864248 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Muncie Plaza Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027609 | Dental Professionals of Indiana, P.C. | Dentist | 415 Waterfall Dr Ste A, Elkhart, IN 46516-3660 | 2020-03-11 |
| 1538686555 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Pkwy, Zionsville, IN 46077-7626 | 2017-08-30 |
| 1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
| 1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
| 1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
| 1376765503 | Dental Professionals of Indiana, P.C. | Dentist | 5250 Us Hwy 36, Suite 160, Avon, IN 46123 | 2007-05-03 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| Street Address |
1130 E PRINCETON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154614873 | Joshua R Berry | Dentist | 1130 E Princeton Ave, Muncie, IN 47303-2092 | 2011-05-27 |
| 1962615179 | Woon Kang | Dentist | 1130 E Princeton Ave, Muncie, IN 47303-2092 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1093064339 | Suzanne Rae Reedy | Dentist | 2301 W. Jackson, Muncie, IN 47303 | 2012-08-31 |
| 1902154248 | Southway Family Dentistry | Dentist | 3745 S Madison St, Muncie, IN 47302-5756 | 2012-08-16 |
| 1245559822 | Thomas Chase Cornils | Dentist | 2016 W Mcgalliard Rd, Muncie, IN 47304-2148 | 2010-05-22 |
| 1184859803 | John T Notarianni | Dentist | 1825 W Mcgalliard Rd, Muncie, IN 47304-2210 | 2009-05-26 |
| 1467612481 | The Dental Place | Dentist | 1804 W Mcgalliard Rd, Muncie, IN 47304-2209 | 2008-06-12 |
| 1659548139 | Allcare Dental & Dentures of In PC | Dentist | 613 E Mcgalliard Rd, Muncie, IN 47303-2066 | 2008-05-13 |
| 1477768026 | Suzanne R. Reedy, D.d.s., P.C. | Dentist | 2301 W Jackson St, Muncie, IN 47303-4733 | 2007-05-14 |
| 1326250325 | Jackson Family Dentistry | Dentist | 202 Reserve, Muncie, IN 47303 | 2007-05-04 |
| 1356565022 | Timothy Shane Williams | Dentist | 2915 N Oakwood Ave, Muncie, IN 47304-2255 | 2007-04-12 |
| Find all providers in MUNCIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.